Andersen, Michelle

Andersen, Michelle is an sole proprietor health care provider with primary practice located at 1500 11Th St # 4774 , Sacramento CA 95814-5701. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Andersen, Michelle can be contacted via phone (805) 242-1043.

Contact Information

Primary practice address
1500 11Th St # 4774 Sacramento CA 95814-5701
Phone: (805) 242-1043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY30213 California

Profile Details

NPI number 1245712009
LBN Legal business name Andersen, Michelle
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2018
Last updated Jan 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245712009 NPPES
California Other PSY30213 CALIFORNIA BOARD OF PSYCHOLOGY

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